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Form 497 - Yes on Measure E (2013-10-17)NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E AREA CODE/PHONE NUMBER I.D. NUMBER (Wapplicable) 415-450-4000 1359555 STREET ADDRESS 1000 4th Street Suite 000 CITY STATE ZIP CODE San Rafael CA 94901 Late Contribution(s) Received Type or print in ink. Amounts be rounded to whole dollars. Date of 10/17/2013This Filing 7.1 J9, Amendment to Report No. (explain below) No. of Pages 1 For Official Use Only DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL' ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ® IND 10/17/2013 Don Caramagno 8023 Gravenstein Hwy, SouthDC r-1com � OTH Principal Electric $1,000 Cotati, CA 94931 F-1 PTY ❑ SCC ❑ Check if Loan © IND [� COm OTH Q PTY ❑ SCC ❑ Check if Loan 0 IND ❑ COM OTH [� PTY SCC ❑ Check if Loan *Contributor Codes IND -- Individual PTY -- Political Party COM +- Recipient Committee {other than PTY or SCC} SCC -- Small Contributor CommitteE OTH — Other .PForm ,. PToll-Freei :.. 6